Kathryn White, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW25288 Issued in FL

Practice address

1777 Tamiami TRL Ste 500
Port Charlotte, FL 33948-1083

Phone

(941) 780-4268

NPI assigned

Sep 15, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Dandelion Behavioral Health LLCGroup PAC ID 9739600685, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dandelion Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Charlotte, FL
  • NPI 1053028787

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1063383032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 ACAPULCO CIR",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 TAMIAMI TRL STE 500",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481083",
            "telephone_number": "941-780-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Coast Dental Partners
• West Florida Cardiac Anesthesia Services LLC
• Mary Ann West
• Hunter Darwyn White
• James Edward White, MD
• Kayla Whiteaker
• Whitesides Orthodontics PLLC
• Sally Ann Wickman, COTA
• Jenny Wiedel, M.D.
• Edith Morgan Wierzbicki

• Clinical Social Worker in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.